Editorial: Recent advances in diagnosis and treatment of comorbid conditions in eating disorders
Notice bibliographique
Résumé
The study by Devoe et al. presents a large systematic review and meta-analysis that includes 35 studies and a total of 9,646 individuals with a clinically diagnosed ED, and examined the prevalence rates of impulse control disorders and behavioral addictions. The authors found a 22% prevalence for any impulse control disorder, especially for pathological/compulsive buying, predominantly in individuals with EDs of the binge-purge phenotype. This study supports the need for screening and monitoring of comorbid impulse control disorders and behavioral addictions in individuals with EDs. Riquin et al. investigated psychiatric comorbidities in adults with anorexia nervosa (AN) and found that more than half of the cohort had experienced major depressive disorder (MDD) over their lifetime, almost a third had had generalized anxiety disorder (GAD) or social phobia (SP), and more than a quarter had OCD. Interestingly, the study showed that individuals with AN had more severe symptoms when comorbid MDD and GAD were diagnosed prior the diagnosis of the AN. The authors also reported that the greatest clinical severity (i.e., ED-related symptoms), general clinical condition, and quality of life in individuals with AN was associated with lifetime comorbidity for MDD, GAD, or SP.Li et al. evaluated treatment outcomes based on self-reported assessment of autistic traits -high autistic traits (HAT) vs. low autistic traits (LAT)-in individuals with AN in either an inpatient or day treatment program. In individuals with AN, HAT was a positive predictor for clinical improvement of the ED symptoms in an inpatient treatment program, but a negative predictor for those in a day treatment program. The authors argued that the individualized and structured routine care in an inpatient setting may be more suitable for the treatment of individuals with comorbid AN and HAT.While research in this area is growing, these findings suggest that treatment adaptations for individuals with comorbid AN and autistic traits are needed.Nobile et al. examined cognitive functions including attention, decision making, set shifting, and central coherence in women with bulimia nervosa (BN) who were receiving hormonal contraceptives (HC) compared to those who were not. The authors adjusted their analyses for a variety of variables that might influence cognitive performance and found that women with BN on HC (all types) showed better selection abilities and global sustained attention, and better understood the rules of the Iowa gambling task for decision making, while no differences between the groups were found for set shifting and central coherence. The authors argued that by limiting sex hormone changes by means of HC, cognitive functions might appear less prone to fluctuations. This Special Issue highlights recent literature on the implications of psychiatric and medical comorbidities reported in individuals with EDs. Individuals with EDs have a higher mortality rate compared to the general population and death is often due to the medical and/or psychiatric comorbidity -suicide or severe medical complications. The studies in the issue illustrate that comorbidities, some that precede the ED and others that are the consequence of the ED, can impact the clinical presentation, diagnosis, and treatment. Further, the comorbidity associated with EDs makes treatment a challenging task. This issue adds to the existing knowledge and provides stimuli to improve early diagnosis and treatment interventions to reduce the burden of suffering in individuals with EDs and comorbid conditions.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,008 | 0,038 |
| Méta-épidémiologie (sens strict) | 0,004 | 0,001 |
| Méta-épidémiologie (sens large) | 0,006 | 0,004 |
| Bibliométrie | 0,005 | 0,003 |
| Études des sciences et des technologies | 0,002 | 0,002 |
| Communication savante | 0,007 | 0,005 |
| Science ouverte | 0,006 | 0,002 |
| Intégrité de la recherche | 0,013 | 0,016 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,020 | 0,008 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».